Black, Hispanic and less-educated women consume a less nutritious diet than their well-educated, white counterparts in the weeks leading up to their first pregnancy, according to the only large-scale analysis of preconception adherence to national dietary guidelines.

The study, published in the Journal of the Academy of Nutrition and Dietetics and led by the University of Pittsburgh Graduate School of Public Health, also found that, while inequalities exist, none of the women in any racial and socioeconomic group evaluated achieved recommendations set forth by the Dietary Guidelines for Americans.

“Unlike many other pregnancy and birth risk factors, diet is something we can improve,” said lead author Lisa Bodnar, Ph.D., M.P.H., R.D., associate professor and vice chair of research in Pitt Public Health’s Department of Epidemiology. “While attention should be given to improving nutritional counseling at doctor appointments, overarching societal and policy changes that help women to make healthy dietary choices may be more effective and efficient.”

Bodnar and her colleagues analyzed the results of questionnaires completed by 7,511 women who were between six and 14 weeks pregnant and enrolled in The Nulliparous Pregnancy Outcomes Study: Monitoring Mothers to Be, which followed women who enrolled in the study at one of eight U.S. medical centers. The women reported on their dietary habits during the three months around conception.

The diets were assessed using the Healthy Eating Index-2010, which measures 12 key aspects of diet quality, including adequacy of intake for key food groups, as well as intake of refined grains, salt and empty calories (all calories from solid fats and sugars, plus calories from alcohol beyond a moderate level).

Nearly a quarter of the white women surveyed had scores that fell into the highest scoring fifth of those surveyed, compared with 14 percent of the Hispanic women and 4.6 percent of the black women. Almost half — 44 percent — of black mothers had a score in the lowest scoring fifth…. https://www.sciencedaily.com/releases/2017/03/170317082514.htm

Black, Hispanic and less-educated women consume a less nutritious diet than their well-educated, white counterparts in the weeks leading up to their first pregnancy, according to the only large-scale analysis of preconception adherence to national dietary guidelines. The study also found that, while inequalities exist, none of the women in any racial and socioeconomic group evaluated achieved recommendations set forth by the Dietary Guidelines for Americans.

Journal Reference:

Uma M. Reddy, MD et al. Racial or Ethnic and Socioeconomic Inequalities in Adherence to National Dietary Guidance in a Large Cohort of US Pregnant Women. Journal of the Academy of Nutrition and Dietetics, March 2017 DOI: 10.1016/j.jand.2017.01.016

PITTSBURGH, March 17, 2017 – Black, Hispanic and less-educated women consume a less nutritious diet than their well-educated, white counterparts in the weeks leading up to their first pregnancy, according to the only large-scale analysis of preconception adherence to national dietary guidelines.

“Unlike many other pregnancy and birth risk factors, diet is something we can improve,” said lead author Lisa Bodnar, Ph.D., M.P.H., R.D., associate professor and vice chair of research in Pitt Public Health’s Department of Epidemiology. “While attention should be given to improving nutritional counseling at doctor appointments, overarching societal and policy changes that help women to make healthy dietary choices may be more effective and efficient.”

Bodnar and her colleagues analyzed the results of questionnaires completed by 7,511 women who were between six and 14 weeks pregnant and enrolled in The Nulliparous Pregnancy Outcomes Study: Monitoring Mothers to Be, which followed women who enrolled in the study at one of eight U.S. medical centers. The women reported on their dietary habits during the three months around conception.

The diets were assessed using the Healthy Eating Index-2010, which measures 12 key aspects of diet quality, including adequacy of intake for key food groups, as well as intake of refined grains, salt and empty calories (all calories from solid fats and sugars, plus calories from alcohol beyond a moderate level).

Nearly a quarter of the white women surveyed had scores that fell into the highest scoring fifth of those surveyed, compared with 14 percent of the Hispanic women and 4.6 percent of the black women. Almost half—44 percent—of black mothers had a score in the lowest scoring fifth.

The scores increased with greater education levels for all three racial/ethnic groups, but the increase was strongest among white women. At all levels of education—high school or less through graduate degree—black mothers had the lowest average scores.

When scores were broken down into the 12 aspects of diet, fewer than 10 percent of the women met the dietary guideline for the whole grains, fatty acids, sodium or empty calories categories.

Approximately 34 percent of the calories—or energy—the women consumed were from empty calories. Top sources of energy were sugar-sweetened beverages, pasta dishes and grain desserts. Soda was the primary contributor to energy intake among black, Hispanic and less-educated women. Women with a college or graduate degree consumed more energy from beer, wine and spirits than any other source.

Juices and sugar-sweetened beverages combined for a much larger proportion of vitamin C intake than solid fruits or vegetables for black, Hispanic and less-educated women. The opposite was true for white women or more-educated women.

For all groups, green salad was the only vegetable in the top 10 sources of iron. Green salad and processed cereals were the top two sources of folate for all groups except black women, whose second highest folate source was 100 percent orange or grapefruit juice. Folate and iron are important nutrients for developing fetuses and healthy pregnancies.

“Our findings mirror national nutrition and dietary trends. The diet quality gap among non-pregnant people is thought to be a consequence of many factors, including access to and price of healthy foods, knowledge of a healthy diet, and pressing needs that may take priority over a healthy diet,” said Bodnar, also an associate professor of obstetrics, gynecology and reproductive sciences at Pitt’s School of Medicine. “Future research needs to determine if improving pre-pregnancy diet leads to better pregnancy and birth outcomes. If so, then we need to explore and test ways to improve the diets for everyone, particularly women likely to become pregnant.”

Additional authors on this research include senior author Uma M. Reddy, M.D., of the Eunice Kennedy Shriver National Institute of Child Health and Human Development; as well as Hyagriv N. Simhan, M.D., of Pitt; Corette B. Parker, Dr.P.H., and Heather Meier, both of RTI International; Brian M. Mercer, M.D., of Case Western Reserve University; William A. Grobman, M.D., and Alan M. Peaceman, M.D., both of Northwestern University; David M. Haas, M.D., and Shannon Barnes, R.N., both of Indiana University; Deborah A. Wing, M.D., and Pathik D. Wadhwa, M.D., Ph.D., both of the University of California Irvine; Matthew K. Hoffman, M.D., of the Christiana Care Health System; Samuel Parry, M.D., and Michal Elovitz, M.D., both of the University of Pennsylvania; Robert M. Silver, M.D., and Sean Esplin, M.D., both of the University of Utah; George R. Saade, M.D., of the University of Texas; Ronald Wapner, M.D., of Columbia University; and Jay D. Iams, M.D., of The Ohio State University.

This study is supported by grant funding from the Eunice Kennedy Shriver National Institute of Child Health and Human Development, as well as RTI International grant U10 HD06336, Case Western Reserve University grant U10 HD063072, Columbia University grant U10 HD063047, Indiana University grant U10 HD063037, Pitt grant U10 HD063041, Northwestern University grant U10 HD063020, University of California Irvine grant U10 HD063046, University of Pennsylvania grant U10 HD063048 and University of Utah grant U10 HD063053.

Humans have free will and are allowed to choose how they want to live. What you do not have the right to do is to inflict your lifestyle on a child. So, the responsible thing for you to do is to get birth control for yourself and the society which will have to live with your poor choices. Many religious folks are shocked because moi is mentioning birth control, but most sluts have few religious inklings or they wouldn’t be sluts. A better option for both sexes, if this lifestyle is a permanent option, is permanent birth control to lessen a contraception failure. People absolutely have the right to choose their particular lifestyle. You simply have no right to bring a child into your mess of a life. I observe people all the time and I have yet to observe a really happy slut. Seems that the lifestyle is devoid of true emotional connection and is empty. If you do find yourself pregnant, please consider adoption.

Let’s continue the discussion. Some folks may be great friends, homies, girlfriends, and dudes, but they make lousy parents. Could be they are at a point in their life where they are too selfish to think of anyone other than themselves, they could be busy with school, work, or whatever. No matter the reason, they are not ready and should not be parents. Birth control methods are not 100% effective, but the available options are 100% ineffective in people who are sexually active and not using birth control. So, if you are sexually active and you have not paid a visit to Planned Parenthood or some other agency, then you are not only irresponsible, you are Eeeevil. Why do I say that, you are playing Russian Roulette with the life of another human being, the child. You should not ever put yourself in the position of bringing a child into the world that you are unprepared to parent, emotionally, financially, and with a commitment of time. So, if you find yourself in a what do I do moment and are pregnant, you should consider adoption.

Children need stability and predictability to have the best chance of growing up healthy. Children will have the most success in school if they are ready to learn. Ready to learn includes proper nutrition for a healthy body and the optimum situation for children is a healthy family. Many of society’s problems would be lessened if the goal was a healthy child in a healthy family.

Unless there was a rape or some forcible intercourse, the answer to the question is a woman who gets preggers with a “deadbeat dad” a moron – is yes.

For many college students, college brings more freedom and fewer restrictions than they may have been accustomed to during their high school years. Many college students are naive about the consequences that can arise from certain social situations.

60% of male college students “indicated some likelihood of raping or using force in certain circumstances.”

Men in fraternities appear to engage in more non-physical coercion and use of drugs and alcohol as a sexual strategy than do independents.

Every 21 hours there is another rape on an American college campus.

90% of all campus rapes occur under the influence of alcohol.

Men are more likely than women to assume that a woman who drinks alcohol on a date is a willing sex partner. 40% of men who think this way also believe it is acceptable to force sex on an intoxicated woman.

Alcohol use at the time of the attack was found to be one of the four strongest predictors of a college woman being raped.

43% of college men admit using coercive behavior to have sex, including ignoring a woman’s protest; using physical aggression; and forcing intercourse; 15% acknowledged they had committed acquaintance rape; 11% acknowledged using physical restraint to force a woman to have sex.

College rape victims receive external physical injuries in over 47% of all rapes.

Of the college woman who are raped, only 25% describe it as rape.

Of the college women who are raped, only 10% report the rape.

College women are most vulnerable to rape during the first few weeks of the freshman and sophomore years.

One in twelve college-age men admit having fulfilled the prevailing definition of rape or attempted rape, yet virtually none of these men identify themselves as rapists.

34% of completed rapes and 45% of attempted rapes take place on campus. Almost 60% of the completed campus rapes that take place on campus occur in the victim’s residence, 31% occur in another residence, and 10% occur in a fraternity.

3/4 of off-campus rapes and 7/8 of on-campus rapes involved perpetrators who were known to the victims.

78% of the men identified (as rapists) were an acquaintance, friend or boyfriend of the victims.

Most rapes occur on the weekend.

A key factor in many college rapes and sexual assaults is the involvement of alcohol and the fact that the victim may be intoxicated or possibly drugged.

Nina Bahadur writes in the Huffington Post article, College Women Exceed Drinking Guidlines More Often Than College Men, Study Finds:

College women are drinking more alcohol than is good for them — and they are doing it more often than their male counterparts are.

A study forthcoming in the October 2013 issue of “Alcoholism: Clinical and Experimental Research” explored how often college men and women drank. A team led by medical researcher Bettina Hoeppner recruited 992 incoming students (average age of 18.4) at three New England universities and colleges.

Participating students were asked to complete an online survey about their alcohol consumption every two weeks throughout the academic year, where they indicated their daily alcohol consumption in the 7 previous days.

In 1990, the National Institute on Alcohol Abuse and Alcoholism (NIAAA) issued guidelines that define low-risk drinking on a daily and weekly level. For men, 5 drinks a day and 14 drinks a week are considered low-risk. For women, 4 drinks a day and 7 drinks a week are considered low-risk.

Researchers found that, among students who drank alcohol, 85.4 percent exceeded an NIAAA drinking guideline at least once during their first week of college. More men than women exceeded the daily limit, and more women than men exceeded the weekly limit.

Alcoholism: Clinical and Experimental Research

Background

Exceeding nationally recommended drinking limits puts individuals at increased risk of experiencing harmful effects due to alcohol consumption. Both weekly and daily limits exist to prevent harm due to toxicity and intoxication, respectively. It remains unclear how well college students adhere to recommended limits, and whether their drinking is sensitive to the wider sex difference in weekly versus daily drinking limits.

Methods

This study used a daily-level, academic-year-long, multisite sample to describe adherence to NIAAA daily (no more than 4 drinks per day for men, 3 drinks per day for women) and weekly (no more than 14 drinks per week for men, 7 drinks per week for women) drinking guidelines, and to test for sex differences and time effects. College students (n =992; 58% female) reported daily drinking on a biweekly basis using web-based surveys throughout their first year of college.

Results

Women exceeded weekly limits more frequently (15% of weeks [14 to 17%]) than men (12% [10 to 14%]). Women and men exceeded daily drinking limits similarly often (25 and 27%, respectively). In a generalized estimating equations analysis across all 18 biweekly assessments, adjusted for covariates and a linear trend over time, women were more likely to exceed weekly guidelines compared to men. Sex differences in exceeding daily limits were not significant. Over time, rates of exceeding limits declined for daily limits but only for men for weekly limits.

Conclusions

Female college students are more likely to exceed weekly alcohol intake limits than men. Furthermore, trends over time suggest that college students may be maturing out of heavy episodic drinking, but women may not mature out of harmful levels of weekly drinking. The observed disparity in risk for long-term health consequences may represent a missed opportunity for education and intervention.

Moi wrote in In Children, body image, bullying, and eating disorders, moi said:

The media presents an unrealistic image of perfection for women and girls. What they don’t disclose is for many of the “super” models their only job and requirement is the maintenance of their appearance. Their income depends on looks and what they are not able to enhance with plastic surgery and personal trainers, then that cellulite can be photoshopped or airbrushed away. That is the reality. Kid’s Health has some good information about Body Imagehttps://drwilda.wordpress.com/2012/01/09/children-body-image-bullying-and-eating-disorders/

Both teenage boys and girls are engaging in muscle-enhancing behaviors far more than previously known, according to a study published online today in the journal Pediatrics.

As large, lean, muscular male body images have risen in popularity in Western culture, so too has teenage boys’ dissatisfaction with their own bodies, the study suggests. Some boys thus decide to engage in muscle-enhancing behaviors to shape their bodies like the ones being presented to them in the media.

For this study, three researchers from the University of Minnesota and Columbia University examined data from 2,793 youths (with a mean age of 14.4) at 20 urban middle and high schools taken during the 2009-10 school year. The researchers set out to determine the prevalence of five specific muscle-enhancing behaviors: changing eating habits to increase muscle size, increasing exercise, the use of protein powder, the use of steroids, and the use of other muscle-enhancing substances.

Nearly 70 percent of the boys in the study (897 of 1,307 total) reported having changed their eating habits in order to increase their muscle size or tone within the past 12 months, and more than 90 percent of boys increased their amount of exercise to achieve the same goal.

More than 40 percent of boys reported that they often exercised more to boost their muscle mass or tone, while 39.1 percent sometimes did, and 11.3 rarely did. Only 8.8 percent of boys never did, according to the study.

While changing eating habits and exercising more could each be considered healthy habits, many boys engaged in unhealthy behaviors, too. More than one-third of the boys in the study reported using protein powders or shakes, 5.9 percent reported using steroids, and 10.5 percent reported using some other muscle-enhancing substance.

On the female side, more than 60 percent of girls reported changing their eating habits to increase muscle size or tone, and more than 80 percent of girls exercised more for the same reason. More than 20 percent of girls reported using protein powders or shakes, 4.6 percent reported using steroids, and 5.5 percent reported using other muscle-enhancing substances…

Generva Pittman of Reuters writes about steroids in the article, One in 20 youth has used steroids to bulk up: study:

Anabolic steroids are synthetic versions of testosterone, the male sex hormone. Steroids are prescribed legally to treat conditions involving hormone deficiency or muscle loss, but when they’re used for non-medical purposes, it’s typically at much higher doses, according to the National Institute on Drug Abuse.

In those cases, steroids can cause mood swings – sometimes known as roid rage – and for adolescents, stunted growth and accelerated puberty.

Anabolic steroids have become pervasive in professional sports, including baseball, football and boxing. (Another example of performance-enhancing drug use is “blood doping” with erythropoietin or EPO, which is behind the Lance Armstrong cycling controversy that caused him to be stripped of his Tour de France titles last month.)

Experts have worried that the drive to get ahead of competitors at any cost could trickle down to college and high school athletes, as well.

Muscle-enhancing Behaviors Among Adolescent Girls and Boys

aDivision of Adolescent Health and Medicine, Department of Pediatrics, and

bDivision of Epidemiology & Community Health, School of Public Health, University of Minnesota, Minneapolis, Minnesota; and

cDepartments of Biostatistics and Psychiatry, Columbia University, New York, New York Abstract

OBJECTIVE: Media images of men and women have become increasingly muscular, and muscle-enhancing techniques are available to youth. Identifying populations at risk for unhealthy muscle-enhancingbehaviors is of considerable public health importance. The current study uses a large and diverse population-based sample of adolescents to examine the prevalence of muscle-enhancing behaviors and differences across demographic characteristics, weight status, and sports team involvement.

METHODS: Survey data from 2793 diverse adolescents (mean age = 14.4) were collected at 20 urban middle and high schools. Use of 5 muscle-enhancing behaviors was assessed (changing eating, exercising, protein powders, steroids and other muscle-enhancing substances), and a summary score reflecting use of 3 or more behaviors was created. Logistic regression was used to test for differences in each behavior across age group, race/ethnicity, socioeconomic status, BMI category, and sports team participation.

RESULTS: Muscle-enhancing behaviors were common in this sample for both boys and girls. For example, 34.7% used protein powders or shakes and 5.9% reported steroid use. Most behaviors were significantly more common among boys. In models mutually adjusted for all covariates, grade level, Asian race, BMI category, and sports team participation were significantly associated with the use of muscle-enhancing behaviors. For example, overweight (odds ratio = 1.45) and obese (odds ratio = 1.90) girls had significantly greater odds of using protein powders or shakes than girls of average BMI.

Parents have more influence on their children’s values and beliefs than most are willing to exercise. You need to support your children’s dreams, not yours.

Because people have free will, even the best parents will have children who make mistakes. Some so identified “progressives” will attribute this lapse not to individual free will, but the fact that the message of morality is a failure. It is not. People learn lessons at different speeds, some sooner, some later. Remember the lesson of the Prodigal Son